Organization
BLECKLEY COUNTY HOSPITAL
Active
Other names
Bleckley Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE NOBLES PAULK RN, MSN (CEO)
(478) 934-6211
Entity
Organization
Contact information
Practice address
145 E PEACOCK ST, COCHRAN, GA 31014-7846
(478) 934-6211
Mailing address
PO BOX 536, 145 EAST PEACOCK STREET, COCHRAN, GA 31014-0536
(478) 934-6211
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
012-233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000195A
—
GA
01
—
115917
PEACHSTATE
GA
01
—
271242
WELLCARE
GA
Enumeration date
11/20/2006
Last updated
08/23/2012
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